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JACKSON PURCHASE NEPHROLOGY
NPI 1336314442
Internal Medicine - Nephrology in Mayfield, KY

Active since April 29, 2008CLIA 18D2135746 · Microscopy
1029 MEDICAL CENTER CIR, SUITE 200 A, MAYFIELD, KY 42066(270) 251-4545(270) 251-4546 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Purchase Nephrology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON PURCHASE NEPHROLOGY (NPI 1336314442) is a healthcare organization registered as a nephrology in Mayfield, Kentucky and active in the NPI registry since April 2008. The organization holds a CLIA Microscopy certificate valid through August 27, 2027 and lists Thomas Weiss, Division President, as its authorized official.

NPPES Registry Identity

NPI1336314442
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePINELAKE PHYSICIAN PRACTICES LLC
Location Address1029 MEDICAL CENTER CIR, SUITE 200 AMayfield, KY 42066-1189
Mailing Address1029 Medical Center Cir, Suite 200 AMayfield, KY 42066-1189 · (270) 251-4545 · Fax (270) 251-4546
Phone(270) 251-4545
Fax(270) 251-4546
Organization SubpartNo
Authorized OfficialThomas WeissDivision President · (615) 375-8500
Enumeration DateApril 29, 2008
✔ NPI 1336314442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1029 MEDICAL CENTER CIR, Mayfield, KY 42066
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Other Names 1

Doing Business AsJackson Purchase Nephrology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2135746

Jackson Purchase Urology · Mayfield, KY
Active · expires Aug 27, 2027
CLIA Number18D2135746
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorDr. John Vansavage
Laboratory Phone(270) 251-4115
Laboratory LocationJackson Purchase Urology1029 Medical Center Circle, Mayfield, KY 42066
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSICA M LITTLE DPM
Podiatrist (Foot & Ankle Surgery)
1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4590
DR. ELIAS PITARAS M.D.
Internal Medicine (Nephrology)
1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4141
SARAH WILSON APRN
Nurse Practitioner (Family)
1029 MEDICAL CENTER CIR, SUITE 306
MAYFIELD, KY 42066
Graves County (270) 251-4575
ADVANCED FOOT AND ANKLE CLINIC PLLC
Podiatrist (Foot & Ankle Surgery)
1029 MEDICAL CENTER CIR, SUITE 308
MAYFIELD, KY 42066
Graves County (270) 251-4060
MAGNOLIA FAMILY PRACTICE PSC
Family Medicine
1029 MEDICAL CENTER CIR, SUITE 200
MAYFIELD, KY 42066
Graves County (270) 251-4545
MS. REBECCA FLETCHER CRNA
Nurse Anesthetist, Certified Registered
1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4100
WESTERN KENTUCKY UROLOGICAL ASSOCIATES PSC
Urology
1029 MEDICAL CENTER CIR, SUITE 200
MAYFIELD, KY 42066
Graves County (270) 251-4545
WHITELEY SURGICAL SERVICES
Surgery
1029 MEDICAL CENTER CIR, SUITE 200
MAYFIELD, KY 42066
Graves County (270) 251-4545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinelake Physician Practices LLC's NPI number?

The NPI number for Pinelake Physician Practices LLC is 1336314442. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Jackson Purchase Nephrology.

Where is Pinelake Physician Practices LLC located?

Pinelake Physician Practices LLC is located at 1029 Medical Center Cir Suite 200 A, Mayfield, KY 42066. The listed phone number is (270) 251-4545.

What is Pinelake Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Pinelake Physician Practices LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D2135746) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinelake Physician Practices LLC was last updated on April 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.